NPI | 1508476656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1014542) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 827346) |
Enumeration Date | 2020-08-04 |
Last Update Date | 2021-01-29 |